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Biology subjects

Ramadi, K.

Publications and source records attributed to Ramadi, K..

4 recordsLinked to original sources

3D Printed Customizable Radiopaque Markers for Assessing Gastrointestinal Transit

Tracking gastrointestinal (GI) transit in preclinical models is essential for assessing gut motility and drug delivery. Current preclinical methods rely on end-to-end transit measurements or emptying studies that require terminal endpoints and organ explanation. Clinically, radiopaque "Sitz" markers are administered orally and their position in the GI tract is assessed through radiography. Sitz markers have been in use since 1969 and are typically mass-produced using industrial molding or extrusion, resulting in a single, fixed geometry with limited tunability. We present a stereolithography (SLA)-based method to fabricate customizable radiopaque markers using additive manufacturing with a barium sulfate (BaSO4)-doped resin. We demonstrate precise control over marker geometry, a key advantage over existing markers. Furthermore, we apply this method in vivo, tracking markers in a live rat model from ingestion to excretion using serial CT imaging. We systematically investigate how changes in marker geometry impact GI residency and transit time. Our results show that 3D printed markers provide a flexible and tunable platform for radiopaque marker fabrication and enable investigation of the fundamental relationship between a markers physical properties and its performance in a dynamic biological environment. This work establishes a novel, tunable platform for GI motility evaluation and drug delivery studies.

bioengineering↗

Biodegradable Architected Stents for Endoscopic Internal Drainage

Postoperative gastric leak after bariatric surgery is a serious complication associated with prolonged treatment, repeated interventions, and substantial morbidity. Endoscopic internal drainage using double pigtail stents is widely adopted. However, current stents, originally designed for biliary use and often based on simple cylindrical geometries, are not optimized for post-bariatric gastric leak anatomy, mechanical support, or fluid drainage. Here, we present BRIDGE (Biodegradable aRchitected Internal DrainaGE), a stent concept integrating triply periodic minimal surface (TPMS) architectures to control mechanical compliance, kink resistance, and drainage performance. Using computational modeling, mechanical testing, and benchtop flow studies, we evaluate TPMS designs and identify volume fraction as a key parameter balancing flexibility, structural integrity, and hydraulic performance. TPMS-integrated designs tolerated a 7.1-fold smaller bend radius than a commercial stent without kinking and achieved up to a 2-fold increase in drainage. We also developed a stereolithography-printable biodegradable resin and fabricated a prototype lattice-integrated stent. TeaserA biodegradable, 3D-printed stent with an architected lattice design improves flexibility, kink resistance, and abscess drainage while eliminating the need for device removal.

bioengineering↗

An ingestible, battery-free, tissue-adhering robotic interface for non-invasive and chronic electrostimulation of the gut

Ingestible electronics have the capacity to transform our ability to effectively diagnose and potentially treat a broad set of conditions. Current applications could be significantly enhanced by addressing poor electrode-tissue contact, lack of navigation, short dwell time, and limited battery life. Here we report the development of an ingestible, battery-free, and tissue-adhering robotic interface (IngRI) for non-invasive and chronic electrostimulation of the gut, which addresses challenges associated with contact, navigation, retention, and powering (C-N-R-P) faced by existing ingestibles. We show that near-field inductive coupling operating near 13.56 MHz was sufficient to power and modulate the IngRI to deliver therapeutically relevant electrostimulation, which can be further enhanced by a bio-inspired, hydrogel-enabled adhesive interface. In swine models, we demonstrated the electrical interaction of IngRI with the gastric mucosa by recording conductive signaling from the subcutaneous space. We further observed changes in plasma ghrelin levels, the "hunger hormone," while IngRI was activated in vivo, demonstrating its clinical potential in regulating appetite and treating other endocrine conditions. The results of this study suggest that concepts inspired by soft and wireless skin-interfacing electronic devices can be applied to ingestible electronics with potential clinical applications for evaluating and treating gastrointestinal conditions.

bioengineering↗

Individualized System for Augmenting Ventilator Efficacy (iSAVE):A Rapidly deployable system to expand ventilator capacity

The COVID-19 pandemic is overwhelming healthcare systems worldwide. A significant portion of COVID-19 patients develop pneumonia and acute respiratory distress syndrome (ARDS), necessitating ventilator support. Some health systems do not have the capacity to accommodate this surge in ventilator demand, leading to shortages and inevitable mortality. Some clinicians have, of necessity, jerry-rigged ventilators to support multiple patients, but these devices lack protected air streams or individualized controls for each patient. Moreover, some have not been tested under conditions of ARDS. We have developed the Individualized System for Augmenting Ventilator Efficacy (iSAVE), a rapidly deployable platform to more safely use a single ventilator to simultaneously support multiple critically-ill patients. The iSAVE enables patient-specific volume and pressure control and incorporates safety features to mitigate cross-contamination between patients and flow changes due to patient interdependencies within the respiratory circuit. Here we demonstrate through simulated and in vivo pig evaluation the capacity of the iSAVE to support a range of respiratory clinical states. By leveraging off-the-shelf components that are readily available to intensive care unit (ICU) caregivers, the iSAVE could potentially be translated for human application to expand the ventilation capacity of hospitals using existing ventilators, minimizing the need to procure additional ventilators.

physiology↗